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01,¢;'I" SAN JOAQUIN COUNTY <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> . 1868 East Hazefton Avenue, Stockton, CA 95205-6232 <br /> ;P Telephone: (209) 468-3420 Fax: (209) 464-0138 Web:www.sigoy.org/ehd <br /> qtl 7: <br /> FOOD PROGRAM OFFICIAL INSPECTION REPORT <br /> Name of Facility: r��. t Date: .j S 2 <br /> Address: C City: Tip Code: CA S 2 <br /> Owner/Operator: J Telephone: <br /> Program Element: 1+� Program Record: �s CzD I S-:I Inspection Type: <br /> SB180 Posted Yes[J No Permit Posted Yes No Re-inspection on or After: <br /> TIONS AND CO IVE AC <br /> C 0'>- <br /> S � <br /> io <br /> r ' <br /> v.)I <br /> r 1 <br /> 5 - <br /> item/Location Temperature Item/Location Temperature <br /> Food Safety Certification Facility Hot Water Temperature Warewashing <br /> Name: Hand Sink: F Chlorine: PPm 'Heat: of <br /> Exp.Date: arewashing Sink: �F Quat.Amm.: ppm Other: of <br /> Received By/Title: <br /> EH Speciallst: Phone: 23'-A—`_ l 1U`_- -3C>2-4S <br /> Time in: •� Time Out: l o, zS Page2f s <br /> EHD 16-24 (2ntl pg( 413113 FOOD PROGRAM 01R CONTINUATION <br />